| Resilient Youth, Pllc | |
|
402 Church St Ste 2 Summersville WV 26651-1495 | |
| (304) 719-9701 | |
| Not Available |
| Full Name | Resilient Youth, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 402 Church St Ste 2, Summersville, West Virginia |
| Authorized Official Name and Position | Myra M Moore (OWNER/SCHOOL PSYCHOLOGIST) |
| Authorized Official Contact | 3047199701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Youth, Pllc Po Box 211 Mount Nebo WV 26679-0211 Ph: (304) 719-9701 | Resilient Youth, Pllc 402 Church St Ste 2 Summersville WV 26651-1495 Ph: (304) 719-9701 |
| NPI Number | 1932884186 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 08/15/2023 |
| Certification Date | 08/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932884186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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